Dr Dongwoo John Chang, MD | |
305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | |
(618) 351-4972 | |
(618) 351-4973 |
Full Name | Dr Dongwoo John Chang |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 31 Years |
Location | 305 W Jackson St Ste 400, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962485037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 036120333 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Harrisburg Medical Center | Harrisburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Dongwoo John Chang, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 351-4972 | Dr Dongwoo John Chang, MD 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 Ph: (618) 351-4972 |
Dr. Gordon Kt Chu, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Eugenio Fortunato Vargas, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 400, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-4973 | |
Mark Fleming, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |